| NPI | 1477711083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE T BREWER Director 877-892-9813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 364SF0001X Clinical Nurse Specialist, Family Health | |
| 207L00000X Anesthesiology | |
| 363A00000X Physician Assistant (Licence: PA PA01235) | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2018-06-21 |